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October 31, 1925


JAMA. 1925;85(18):1345-1352. doi:10.1001/jama.1925.02670180001001

No other joint offers so great an opportunity for the bone surgeon to indulge his ingenuity as does the hip. Yet there is probably no large joint in which less surgery was undertaken, until the last decade. In fact, although arthrodesis of the knee joint for tuberculosis and other conditions had been frequently undertaken by a large number of surgeons for many years, no one had attempted to devise an operation to arthrodese the hip joint until I brought forward this operation1 for advanced arthritis deformans (ostearthritis) in 1908.

THE MODERN ARMAMENTARIUM  Four influences—the technically facile fracture orthopedic table, the bone mill, the Smith-Petersen approach to the joint, and the possibility of bone grafting—have led to the development of the extensive amount of plastic operations on the hip now possible, the limits of which to a large degree depend on the ingenuity and experience of the operating surgeon.The